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NPI Code Detail

MEDICARE: CAROL YE-SHANE LIN FNP-C

MEDICARE: CAROL YE-SHANE LIN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner908345MS
2363LF0000XFamily Nurse Practitioner1-203778AL
3363LF0000XFamily Nurse Practitioner4053149KY
4363LF0000XFamily Nurse PractitionerAP70093674WA
5363LF0000XFamily Nurse Practitioner10058355OR
6363LF0000XFamily Nurse Practitioner1071246TX

General Provider Information

NPI Number : 1295484954
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL YE-SHANE LIN FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 1201 FANNIN ST STE 262
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6943
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 05/29/2026

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